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Living with COG8-congenital disorder of glycosylation

An inherited condition with severe developmental delay, poor growth, and trouble with wheat and dairy foods.

Understanding COG8-congenital disorder of glycosylation

COG8-congenital disorder of glycosylation (CDG type IIh) is a condition with severe developmental delay, poor weight gain, and intolerance to wheat and dairy products.

CDG syndromes are a group of autosomal recessive disorders that affect how sugars attach to proteins. GARD lists onset in childhood. Listed features include poor coordination, nerve problems, low muscle tone in infancy, and loss of skills already learned.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Poor coordination (ataxia)
  • Long-lasting nerve damage
  • Low muscle tone in infancy
  • Poor weight gain
  • Food intolerance
  • Intellectual disability

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include brain and nervous system specialists, genetic specialists and seizure and epilepsy specialists.

  3. Consider genetic testing

    Changes in COG8 are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

  4. Connect with expert centers

    CDG CARE and Epilepsy Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Genetic specialists (geneticists); Seizure and epilepsy specialists (epileptologist)
Expert care
Expert lists: CDG CARE, Epilepsy Foundation
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with CDG CARE and other patient organizations
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Can COG8 genetic testing confirm the diagnosis?
How can a dietitian help with wheat and dairy intolerance?
Which therapies can support movement and learning?

Quick facts

Symptoms usually startChild
InheritanceAutosomal Recessive
GenesCOG8

GARD says changes in the COG8 gene cause this condition. It is autosomal recessive, so a child inherits a changed copy of the gene from each parent.

GeneticNeurologicalInherited Metabolic

Also known as: carbohydrate deficient glycoprotein syndrome type iih; cdg iih; cdg syndrome type iih; cdg-iih; cdg2h; cog8 (component of oligomeric golgi complex 8) congenital disorder of glycosylation

Patient organizations

Source: NIH GARD · COG8-congenital disorder of glycosylationGARD ID 12411 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with COG8-congenital disorder of glycosylation.

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